Raj Modi M.d. P.c

NPI #1952606774 in Ridgewood, New York

Provider Information

NPI Number: 1952606774
Entity Type: Organization
Organization Name: Raj Modi M.d. P.c
Primary Specialty: Ophthalmology
Enumeration Date: Jan 26, 2011
Last Updated: Jun 14, 2011

Practice Location

Address: 55 44 METROPOLITAN AVE.
City: Ridgewood
State: New York
ZIP Code: 11385-1221
Phone: (718) 456-2020

Authorized Official

Name: DR. RAJENDRA MODI, M.D.
Title: PHYSICIAN
Phone: (718) 456-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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